Organization
BWB SUNBELT HOME HEALTH SERVICES LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(915) 881-8129
Entity
Organization
Contact information
Practice address
7500 VISCOUNT BLVD, SUITE 156, EL PASO, TX 79925-5638
(915) 881-8129
(915) 881-8645
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001002454
MDCP
TX
01
—
02364320-2
CSHCN
TX
05
—
023643201
—
TX
01
—
45D0674070
CLIA
TX
Enumeration date
05/12/2006
Last updated
12/01/2023
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